Avaliação do serviço de saúde prestado aos pacientes diabéticos em Unidade de Saúde em Goiânia
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Data
2014
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Resumo
Diabetes mellitus is a syndrome of multiple etiology and a
major public health problem in Brazil. The control of this
disease in basic services is crucial because of its growing
magnitude, transcendence, and complex vulnerability.
This retrospective study aimed to evaluate the treatment
and monitoring of diabetic patients according to the
Brazilian Diabetes Society guidelines in two basic health
units (UBESFs) in the city of Goiânia/GO. Data were
collected by review of medical records from January 2007
to December 2009, resulting in 250 records, consolidated
in the Epi InfoTM software. There was a higher frequency
of diabetes mellitus type 2 (96.65%) compared to type
1. In 78% of the records, arterial hypertension had
been detected and of these, 77.4% had a prescription
for ACE inhibitors. In 30.4% of the records, aspirin
had been prescribed. On average, a small percentage of
the medical records met the recommendations of the
Brazilian Diabetes Society: almost 50% of the patients
had controlled blood pressure in UBESF unit “A” and
over 35% in UBESF unit “B”; about 25% had LDL less
than 100mg/dL in both units, and approximately 25%
had HbA1c below 7% in UBESF unit “B” and 18% in
UBESF unit “A”. As to the study of medication use,
41.1% of the records had prescriptions for metformin
and a secretagogue, and only 20.4% of the patients with
HbA1c >9% had an insulin prescription.
Descrição
Palavras-chave
Diabetes mellitus, Registros médicos, Hipoglicemiantes, Diabetes mellitus, Hypoglycemic agents, Medical records
Citação
RIBEIRO, Emmeline Flor et al. Avaliação do serviço de saúde prestado aos pacientes diabéticos em Unidade de Saúde em Goiânia. Revista de APS, Juiz de Fora, v. 17, n. 4, p. 476-487, out./dez. 2014.